
抗偏头痛单克隆抗体药物研究进展
Progress in Research on Anti-migraine Monoclonal Antibodies
偏头痛是一种由于神经系统异常导致的头痛。根据神经血管学说,偏头痛与头颅血管周围组织的降钙素基因相关肽(calcitoningene-related peptide,CGRP)表达量升高有关。生物药与传统小分子化学药相比,具有特异性高、毒性小等优点。笔者主要介绍以CGRP为靶点,开发针对CGRP及其受体的单克隆抗体。目前共有4种此类药物上市或处于临床三期阶段,分别为Erenumab、Galcanezumab、Fremanezumab和Eptinezumab。笔者汇总了此4种药物的部分临床试验结果,初步比较其中已上市的3种药物,对以CGRP为靶点的单克隆抗体药物进行综述与展望。
Migraine is a kind of headache caused by abnormalities in the nervous system. According to neurovascular theory, migraine is associated with increased expression of calcitonin-related peptide (CGRP) in the surrounding tissues of the skull. Compared with traditional small molecule chemicals, biological drugs have the advantages of high specificity and low toxicity. We did a review of monoclonal antibodies therapies of migraine, focusing on CGRP and its receptor. Four drugs are on the market or in the clinical phase Ⅲ, namely erenumab, glcanezumab, fremanezumab, and eptinezumab. Some clinical trial results were summarized and three drugs on the market were compared. This article also discussed the limitations of monoclonal antibody drugs targeting CGRP and their future was prospected.
降钙素基因相关肽 / 偏头痛 / 单克隆抗体 / 临床试验 {{custom_keyword}} /
calcitoningene-related peptide / migraine / monoclonal antibody / clinical trial {{custom_keyword}} /
中山大学“药学品牌专业建设项目”资助
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